TY - JOUR
T1 - Prospective registry of severe polytrauma. Analysis of 1200 patients
AU - Rebasa Cladera, Pere
AU - Llaquet Bayo, Heura
AU - Campos Serra, Andrea
AU - Montmany Vioque, Sandra
AU - Navarro Soto, Salvador
AU - Serracant Barrera, Anna
PY - 2016/1/1
Y1 - 2016/1/1
N2 - © 2014 AEC. Introduction: Polytrauma continues to be one of the main causes of death in the population between 10-40 years of age, and causes severe discapability in surviving patients. The aim of this study is to perform an analysis of the quality of care of the polytrauma patient using an epidemiological study. Method: Prospective registry of all polytrauma patients treated at our hospital over 16 years of age, admitted to the critical care area or dead before admission. Results: From March 2006 to August 2014, we registered 1200 polytrauma patients. The majority were men (75%) with a median age of 45. The mean ISS was 20,9. ±. 15,8 and the most common mechanism of injury was blunt trauma (94% cases), The global mortality rate was 9.8% (117 cases), and neurological death was the most frequent cause (45.3%), followed by hypovolemic shock (29,1%). In 17 cases (14,5% of deaths) mortality was considered evitable or potentially evitable, A total of 327 patients (27.3%) needed emergency surgery and 106 patients (8,8%) needed emergency treatment using interventional radiology. 18,5% of patients (222) presented an inadverted injury, with a total of 318 inadverted injuries. Conclusion: Trauma care at our centre is adequate. A prospective registry of the global care of polytrauma patients is necessary to evaluate the quality of care and improve results.
AB - © 2014 AEC. Introduction: Polytrauma continues to be one of the main causes of death in the population between 10-40 years of age, and causes severe discapability in surviving patients. The aim of this study is to perform an analysis of the quality of care of the polytrauma patient using an epidemiological study. Method: Prospective registry of all polytrauma patients treated at our hospital over 16 years of age, admitted to the critical care area or dead before admission. Results: From March 2006 to August 2014, we registered 1200 polytrauma patients. The majority were men (75%) with a median age of 45. The mean ISS was 20,9. ±. 15,8 and the most common mechanism of injury was blunt trauma (94% cases), The global mortality rate was 9.8% (117 cases), and neurological death was the most frequent cause (45.3%), followed by hypovolemic shock (29,1%). In 17 cases (14,5% of deaths) mortality was considered evitable or potentially evitable, A total of 327 patients (27.3%) needed emergency surgery and 106 patients (8,8%) needed emergency treatment using interventional radiology. 18,5% of patients (222) presented an inadverted injury, with a total of 318 inadverted injuries. Conclusion: Trauma care at our centre is adequate. A prospective registry of the global care of polytrauma patients is necessary to evaluate the quality of care and improve results.
KW - Trauma registry
KW - Missed injury
KW - Preventable death
KW - ISS
KW - Trauma care
UR - https://dialnet.unirioja.es/servlet/articulo?codigo=5361083
U2 - 10.1016/j.ciresp.2015.02.002
DO - 10.1016/j.ciresp.2015.02.002
M3 - Article
SN - 0009-739X
VL - 94
SP - 16
EP - 21
JO - Cirugia Espanola
JF - Cirugia Espanola
IS - 1
ER -
